TIMOTHY JOSEPH POTERUCHA M.D.
NPI 1124466412
Internal Medicine - Cardiovascular Disease in Rochester, MN
About Timothy Joseph Poterucha M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY JOSEPH POTERUCHA M.D. (NPI 1124466412) is an individual cardiovascular disease provider in Rochester, Minnesota, licensed in Minnesota (78093) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Joseph Poterucha M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Poterucha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Hospital Rochester
Acute Care Hospitals · Rochester, MNMayo Clinic Health System In Red Wing
Acute Care Hospitals · Red Wing, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Poterucha's NPI number?
The NPI number for Timothy Poterucha is 1124466412. It was assigned to this individual provider in the NPPES registry on June 7, 2013.
Where is Timothy Poterucha located?
Timothy Poterucha practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Timothy Poterucha's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Timothy Poterucha enrolled in Medicare?
Yes. Timothy Poterucha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Timothy Poterucha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Poterucha reassigns Medicare benefits to 2 organizations: Mayo Clinic (Rochester, MN) and Trustees Of Columbia University In The City Of New York (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Poterucha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Poterucha affiliated with any hospitals?
According to CMS data, Timothy Poterucha is affiliated with Mayo Clinic Hospital Rochester and Mayo Clinic Health System In Red Wing.
When was this NPI record last updated?
The NPPES record for Timothy Poterucha was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Timothy Joseph Poterucha, M.D. · NPI 1124466412
Cardiovascular Disease physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since June 7, 2013.
## Identity
- **NPI:** 1124466412 (Entity type: Individual)
- **Enumerated:** June 7, 2013
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 78093 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-0001
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic (NPI 1114343860, Rochester, MN); Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 2013
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124466412) · Data from the CMS NPPES public registry.